Trends in self-rated health among the elderly population in Germany from 1995 to 2015 – the influence of temporal change in leisure time physical activity

Sperlich, Stefanie; Beller, Johannes; Epping, Jelena; Tetzlaff, Juliane; Geyer, Siegfried

doi:10.1186/s12889-020-8218-7

Cited by 27 publications

(19 citation statements)

References 40 publications

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“…We found the MCS is associated with daily moving time ( r s = 0.538, p = 0.014) and distance ( r s = 0.556, p = 0.011). The results of this study are consistent with the previous literature [ 55 , 60 ]. However, the PCS does not show a correlation in the three aspects of mobility.…”

Section: Resultssupporting

confidence: 94%

“…It is reported that the frequency of going outdoors is directly linked to levels of physical activity among community-dwelling older people, and practicing moderate physical activity could amortize its negative effects on psychological health [ 55 ]. Additionally, the increase of regular leisure time physical activity accounted for improved SRH [ 56 , 57 , 58 , 59 , 60 ]. The more restricted activities in daily life, the worse mental health, and the lower self-rated health score [ 61 ].…”

Section: Literature Reviewmentioning

confidence: 99%

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A Space-Time Analysis of Rural Older People’s Outdoor Mobility and Its Impact on Self-Rated Health: Evidence from a Taiwanese Rural Village

Chao

Jiang

Sun

et al. 2021

IJERPH

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With the aggravation of rural aging, the well-being and self-rated health level of older people in rural communities are significantly lower than those in urban communities. Past studies hold that mobility is essential to the quality of life of the elderly, and well-being depends on their own adaptation strategies in the built environment. Therefore, this study combines three key factors related to active aging: environment, health and mobility, and assumes that the elderly with good health status will have environmental proactivity and a wider range of daily mobility in a poor rural built environment. This study attempts to track daily mobility by using a space–time path method in time geography and then to explore the relationship between outdoor mobility and older people’s self-rated health. A 1-week mobility path survey for 20 senior citizens of Xishi Village, a typical rural village in Taiwan, was conducted by wearing a GPS sports watch. A questionnaire survey and in-depth interviews were done to provide more information about the seniors’ personal backgrounds and lifestyles. The results show that when the built environment is unfit to the needs of daily activities, half of the participants can make adjustment strategies to go beyond the neighborhoods defined by administrative units. Correlation analysis demonstrated that mental health is associated with daily moving time and distance. In addition, men have higher self-rated health scores than women, and there are significant statistical differences between married and widowed seniors in daily outing time and distance. This exploratory study suggests that in future research on rural health and active aging in rural areas, understanding the daily outdoor mobility of the elderly can help to assess their health status and living demands and quickly find out whether there is a lack of rural living services or environmental planning.

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Section: Resultssupporting

confidence: 94%

Section: Literature Reviewmentioning

confidence: 99%

A Space-Time Analysis of Rural Older People’s Outdoor Mobility and Its Impact on Self-Rated Health: Evidence from a Taiwanese Rural Village

Chao

Jiang

Sun

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…Our results showed that participants with higher total PA were more likely to rate their health as good, which is in accordance with prior research [35,36]. In line with our results, a study by Riebe et al [37] found an association between higher PA and a lower risk of obesity.…”

Section: Discussionsupporting

confidence: 93%

Time allocation to active daily domains, physical activity, and health indicators in older adults: Cross-sectional results from the OUTDOOR ACTIVE study.

Stalling

Albrecht

Doerwald

et al. 2020

Preprint

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Background Physical activity (PA) is one of the key determinants of healthy ageing. Research showed that time allocation plays an important role in PA. Therefore, an understanding of the time use of older adults is crucial for developing PA programs. The aim of this study was to examine the associations of time allocation and objectively measured PA, and several health indicators in older adults. Methods In this cross-sectional study all 915 participants of the OUTDOOR ACTIVE study were included. The participants were 65 to 75 years old and resided in a subdistrict of Bremen, Germany (50.9% female). The active daily domains were derived from the SLOTH model (leisure activities, occupation, active transport, home-based activities). PA was objectively measured with accelerometers over seven consecutive days. Binary logistic regressions were used to test the associations of total PA and time spent in the domains with several health indicators (self-rated health, overweight, obesity, activities of daily living (ADL), handgrip strength). Results Participants over the age of 70 years were significantly less physically active than those under 70 years and women were significantly more physically active than men. Regardless of age and sex, most time was spent on home-based activities (women: 118.5 ± 87.8 min/day; men: 80.2 ± 69.4 min/day). Both PA and time spent on leisure activities were associated with a lower risk of bad self-rated health (0.36; 95%-CL: 0.20, 0.65 for PA; 0.93; 95%-CL: 0.87, 0.99 for leisure activities) and less limitations in ADL. PA and active transport seemed to lower the risk of overweight (0.39; 95%-CL: 0.25, 0.62 for PA; 0.80; 95%-CL: 0.69, 0.93 for active transport) and obesity (0.36; 95%-CL: 0.21, 0.60 for PA; 0.77; 95%-CL: 0.64, 0.92 for active transport). Having an occupation was associated with a lower risk of bad self-rated health (0.60; 95%-CL: 0.40, 0.92). Conclusions The results of this study provide insights in the time allocation to active daily domains and total PA of older adults, as well as the associations with health indicators. These findings have important implications for the development of PA programs. Future research should examine the associations further in longitudinal studies.

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“…Our results regarding total PA are in line with previous research. Total PA is linked to better self-rated health [43,44], overweight and obesity [45], and physical functioning [46,47]. Our study showed a statically significant higher objectively measured PA in women compared to men.…”

Section: Discussionmentioning

confidence: 48%

Time allocation to active domains, physical activity, and health indicators in older adults: cross-sectional results from the OUTDOOR ACTIVE study

et al. 2020

View full text Add to dashboard Cite

Background Physical activity (PA) is one of the key determinants of healthy ageing. Research showed that time allocation plays an important role in PA. Therefore, an understanding of the time use of older adults is crucial for developing PA programs. The aim of this study was to examine the associations of time allocation and objectively measured PA, and several health indicators in older adults. Methods In this cross-sectional study all 915 participants of the OUTDOOR ACTIVE study were included. The participants were 65 to 75 years old and resided in a subdistrict of Bremen, Germany (50.9% female). The active domains were derived from the SLOTH model (leisure activities, occupation, active transport, home-based activities). PA was objectively measured with accelerometers over seven consecutive days. Binary logistic regressions were used to test the associations of total PA and time spent in the domains with several health indicators (self-rated health, overweight, obesity, activities of daily living (ADL)). Results Participants over the age of 70 years were significantly less physically active than those under 70 years and women were significantly more physically active than men. Regardless of age and sex, most time was spent on home-based activities (women: 118.5 ± 87.8 min/day; men: 80.2 ± 69.4 min/day). Both PA and time spent on leisure activities were associated with a lower risk of bad self-rated health (0.36; 95%-CL: 0.20, 0.65 for PA; 0.93; 95%-CL: 0.87, 0.99 for leisure activities) and less limitations in ADL. PA and active transport seemed to lower the risk of overweight (0.39; 95%-CL: 0.25, 0.62 for PA; 0.80; 95%-CL: 0.69, 0.93 for active transport) and obesity (0.36; 95%-CL: 0.21, 0.60 for PA; 0.77; 95%-CL: 0.64, 0.92 for active transport). Having an occupation was associated with a lower risk of bad self-rated health (0.60; 95%-CL: 0.40, 0.92). Conclusions The results of this study provide insights in the time allocation to active domains and total PA of older adults, as well as the associations with health indicators. These findings have important implications for the development of PA programs and guidelines. Future research should examine the associations further in longitudinal studies.

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Trends in self-rated health among the elderly population in Germany from 1995 to 2015 – the influence of temporal change in leisure time physical activity

Cited by 27 publications

References 40 publications

A Space-Time Analysis of Rural Older People’s Outdoor Mobility and Its Impact on Self-Rated Health: Evidence from a Taiwanese Rural Village

A Space-Time Analysis of Rural Older People’s Outdoor Mobility and Its Impact on Self-Rated Health: Evidence from a Taiwanese Rural Village

Time allocation to active daily domains, physical activity, and health indicators in older adults: Cross-sectional results from the OUTDOOR ACTIVE study.

Time allocation to active domains, physical activity, and health indicators in older adults: cross-sectional results from the OUTDOOR ACTIVE study

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